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General NPI Number Information
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NPI Number | 1528863016
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Entity Type | Organization
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Legal Business Name | VICTORY STAFFING RESOURCES
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 3707 MAIN ST STE 17
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City | ATLANTA
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State | GA
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Zip | 30337-3544
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Country | US
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Telephone | 470-931-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 1557 BUFORD DR # 490121
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-3718
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Country | US
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Telephone | 470-931-3344
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNETTE PRITCHETT
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Credential |
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Telephone | 470-931-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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